Position Summary:
The Regional Centralized Business Office (CBO) Director manages the financial and administrative operations of a central office with responsibilities for all HSA hospitals. This position will focus on revenue cycle management, billing, collections, and patient accounts to ensure efficiency, accuracy, and compliance. Key responsibilities include providing strategic leadership, overseeing a skilled team, optimizing workflows and policies, ensuring adherence to healthcare laws, and leveraging technology to enhance performance.
Key Responsibilities:
Operational Oversight: Ensure efficient and accurate operations for claim generation, billing, accounts receivable, and collections processes.
Strategic Leadership: Develop and implement policies, procedures, and best practices to streamline workflows and improve overall revenue cycle performance.
Team Management: Lead, mentor, and train CBO personnel, including charge entry, authorization, and data analyst teams, and conduct performance evaluations.
Financial Management: Oversee departmental budgets and monitor fiscal operations to achieve goals within budgeted resources.
Compliance: Ensure the CBO's operations comply with healthcare laws, regulations, and payer requirements.
Stakeholder Collaboration: Work with internal leaders, payers, and vendors to enhance operational workflows and manage relationships.
Technology Utilization: Leverage and oversee the implementation of healthcare information systems, including Electronic Health Records (EHR) and billing software.
Denial and AR Management: Oversee processes for identifying denial reasons, submitting appeals, and following up on unpaid claims to maximize revenue collection.
Leadership and Management: Strong ability to supervise, mentor, and motivate staff to achieve high performance.
Revenue Cycle Expertise: Proven experience and strong understanding of the entire revenue cycle, including billing, coding, and collections.
Financial Acumen: Ability to manage budgets, analyze financial metrics, and ensure fiscal responsibility.
Compliance Knowledge: In-depth knowledge of relevant healthcare laws, regulations, and compliance standards.
Analytical Skills: Ability to analyze performance metrics, identify areas for improvement, and implement data-driven solutions.
Required Qualifications:
Experience: At least 5 years of relevant experience in revenue cycle management.
Analytical Skills: Ability to analyze performance metrics, identify areas for improvement, and implement data-driven solutions.
Technical Proficiency: Experience with healthcare information systems, EHRs, and billing software.
Communication Skills: Excellent interpersonal and communication skills for interacting with staff, payers, and other stakeholders.
Education: Bachelor's Degree in a related field, extensive experience in revenue cycle management, and proven leadership skills.
